Do I Have to Report the Use of HSA?

When it comes to Health Savings Accounts (HSAs), many people wonder if they need to report their HSA usage. The answer is yes, but with some specific guidelines that you need to follow.

Here are the key points to keep in mind:

  • Contributions to your HSA are tax-deductible and the contributions are not subject to federal income tax.
  • However, you must report any distributions from your HSA on your tax return, even if they are used for qualified medical expenses.
  • Form 8889 is the document where you report your HSA contributions and distributions. It is crucial to fill out this form accurately to avoid any penalties or audits.
  • If you use your HSA funds for non-qualified expenses, you will need to report those distributions as income and pay taxes on them. Additionally, you may face a 20% penalty if you are under 65 years old.

Keeping track of your HSA transactions and understanding the reporting requirements can help you stay compliant with the IRS regulations. It's essential to consult with a tax professional if you have any doubts about how to report your HSA usage correctly.


When managing your Health Savings Account (HSA), it's important to know if you need to report your HSA transactions on your tax return. The answer is yes, and there's more to it than just your contributions!

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